| NPI | 1841998143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 114676) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 32598) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0032429) | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |