| NPI | 1366622185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10940.NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 46395) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2025-09-09 |