| NPI | 1760621742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 49247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10447-NP) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2024-09-19 |