| NPI | 1053824177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN89137) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2022-04-18 |