| NPI | 1649273137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP07364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 45787) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2023-02-13 |