| NPI | 1336632157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN95677-NP-C) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN95677-NP-BC) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2025-10-15 |