| NPI | 1477083137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN74077NP) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-04-03 |