| NPI | 1700528940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 15986) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017606) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031306) | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-05-10 |