| NPI | 1588133730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 110308) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2024-01-19 |