| NPI | 1598306318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 104726) |
| 163W00000X Registered Nurse (Licence: WV 92886) | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-01-31 |