| NPI | 1457943912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0038507) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV 108459) |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2025-06-23 |