| NPI | 1003093790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV WV57200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 57200) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 09837) | |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2021-11-24 |