| NPI | 1013434661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN82554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9388024) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9388024) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-06 |