| NPI | 1285022723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN77071) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WV APRN-77071) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2019-11-06 |