| NPI | 1346599313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN69371) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 69371) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2023-02-24 |