| NPI | 1326337494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 368454) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV aprn87670) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2022-06-29 |