| NPI | 1144464900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 40587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R128855) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2022-04-19 |