| NPI | 1275085797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN46953-FNP-BC) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2021-12-01 |