| NPI | 1275074213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN61547-FNP-BC) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2024-03-28 |