| NPI | 1184960338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN53997) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2023-06-08 |