| NPI | 1013502798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027334) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WV 117983) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2024-01-27 |