| NPI | 1730514142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN26700FNP-BC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.07667-NP) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |