| NPI | 1386932093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15132-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 62910) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-06-22 |