| NPI | 1538402789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14420) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 36963) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2020-04-03 |