| NPI | 1336505049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV APRN90027-FNP-BC) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010278) |
| 363LF0000X Nurse Practitioner Family (Licence: NV 810074) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2023-01-18 |