| NPI | 1154893576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN68176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 68176) |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2023-08-04 |