| NPI | 1295032902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.024785) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV 64715) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2019-09-03 |