| NPI | 1013956945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0925) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN24642-FNP-BC) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-08-09 |