| NPI | 1992955314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP10237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 10237) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2014-08-07 |