| NPI | 1154748473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN91506-NP-C) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001219593) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171613) | |
| 163W00000X Registered Nurse (Licence: WV 91506) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-12-13 |