| NPI | 1285173278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 110212) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9313817) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9313817) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2022-08-04 |