| NPI | 1336639947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WV APRN74901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV APRN74901) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-07-21 |