| NPI | 1285029454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APPRN71036) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 17024-NP) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |