| NPI | 1538514070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 103877) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WV 85516) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH 387985) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 024873) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2020-03-24 |