| NPI | 1235749888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025779) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN-CNP104774) | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2024-07-08 |