| NPI | 1417539685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 108051) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2023-12-15 |