| NPI | 1982272555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 106915) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-11-08 |