| NPI | 1245325182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 26653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 12967) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-03-07 |