| NPI | 1528361417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 79416) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2024-06-10 |