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 |