| NPI | 1699199778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN37059) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN37059) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17011) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17011) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2025-01-31 |