| NPI | 1356780910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN64499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16020-NP) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV 64499) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RN332952) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2020-05-27 |