| NPI | 1255882478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN40531-FNP-BC) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-01-11 |