| NPI | 1316511082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 105773) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-01-08 |