| NPI | 1447912134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 110888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029838) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA sp025078) | |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2024-01-17 |