| NPI | 1023530110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 440126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN70618NP) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2020-10-20 |