| NPI | 1184164089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN73140-NP-C) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2024-02-05 |