| NPI | 1346547023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV APRN74460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV APRN74460) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3006739) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WV APRN74460) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2024-01-05 |