| NPI | 1447635628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0040215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN62467NP) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2025-09-15 |