| NPI | 1295486884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030592) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4016807) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 110745) | |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-03-18 |