| NPI | 1871119081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0026865) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 105714) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-07-11 |