| NPI | 1053875476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN85763) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 85763) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2023-10-27 |