| NPI | 1518975945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 299137) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 57516) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-12-29 |