| NPI | 1942268933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 23475) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP 15828) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2021-04-22 |