| NPI | 1154893840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN85453) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2025-10-29 |