| NPI | 1881080521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024211) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WV APRN86742-NP-C) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-08-21 |