| NPI | 1679011548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP020400) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN63459) | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2025-05-29 |