| NPI | 1396216560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN63542) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023947) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3017681) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-08-29 |