| NPI | 1689928228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 18873-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 71053) |
| 163W00000X Registered Nurse (Licence: OH RN355405-1) | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2016-07-27 |