| NPI | 1275069924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22391) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN83400-FNP-BC) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2020-05-05 |