| NPI | 1871013995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 108519) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021024) |
| 363L00000X Nurse Practitioner (Licence: KY 3011646) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2025-04-17 |