| NPI | 1609327485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN53777NP) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2024-06-05 |