| NPI | 1548220486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.06500-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 41625) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2024-05-01 |