| NPI | 1265943419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027592) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 78286) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-09-11 |