| NPI | 1548528086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13045-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 69512) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN.369896) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2023-03-15 |