| NPI | 1376045138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022434) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 72859) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-12-19 |