| NPI | 1093203903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 104869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.326516) |
| 163W00000X Registered Nurse (Licence: WV 71738) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP026567) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2022-09-20 |