| NPI | 1073092607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023685) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN73839NP) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2023-08-31 |