| NPI | 1124424759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN75796) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN75796) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 75796NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 75796) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2024-05-14 |