| NPI | 1811082589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA NP-2187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 44209) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-03-12 |