| NPI | 1154384154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16401-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 45814) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-11-01 |