| NPI | 1497986301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV APRN85183-ANP-BC) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA10804NP) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2015-03-22 |