| NPI | 1346727591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024176776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV 81038) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3012304) | |
| 363LF0000X Nurse Practitioner Family (Licence: WV APRN81038-NP-C) | |
| 363LF0000X Nurse Practitioner Family (Licence: HI APRN-3047) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.022570) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2021-09-29 |