| NPI | 1073918330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN92035-FNP-BC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16752-np) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2021-04-14 |