| NPI | 1730609942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.021673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV APRN80756-NP-C) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2025-07-01 |