| NPI | 1992122394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0028611) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3015112) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2013012282) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2021-08-04 |