| NPI | 1326201179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 42870) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 2582) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2016-06-28 |