| NPI | 1063087054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 108776) |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2021-05-23 |