| NPI | 1285052571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN76645-FNP-BC) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP013455) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-02-15 |