| NPI | 1700015989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 18453) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 62949) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2024-06-25 |