| NPI | 1396080313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 26919) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 14241) |
| Enumeration Date | 2012-12-02 |
| Last Update Date | 2024-07-04 |