| NPI | 1477083095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021380) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN68865) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-04-01 |