| NPI | 1316485105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV APRN30703-FNP-BC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.12027) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |