| NPI | 1598173411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.1404-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN72869-FNP-BC) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2020-02-25 |