| NPI | 1215443692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021969) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 2017022598) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2020-05-29 |