| NPI | 1033514146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN79730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008967) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 17273-NP) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2023-04-14 |