| NPI | 1972239150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 113854) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0034281) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-04-23 |