| NPI | 1285173492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN76221) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-05-04 |