| NPI | 1649709866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN96718NP) |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2024-06-19 |