| NPI | 1346438066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12904) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12904-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 67658) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2024-03-12 |