| NPI | 1083124531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021869) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN77385-FNP-BC) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2018-03-07 |