| NPI | 1871527705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 022935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN-266928) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WV APRN70101-ANP-BC) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-07-01 |