| NPI | 1982268751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71012370A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 023977) |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2022-06-15 |