| NPI | 1326764192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035989) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 105063) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-05-02 |