| NPI | 1376893289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA 638879) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 79844) | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2020-05-13 |