| NPI | 1265829105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 337780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 68745) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2021-08-12 |