| NPI | 1427495639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14147) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 83060) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2017-11-03 |