| NPI | 1336575174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15051) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN70239-FNP-BC) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2021-01-19 |