| NPI | 1467648717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 46606) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.09810) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 308217) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2020-06-01 |