| NPI | 1336405851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 70670) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2024-04-02 |