| NPI | 1619379526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014447) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN71274-NP-C) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2016-11-02 |