| NPI | 1356528533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 24311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN24311-FNP-BC) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2015-11-12 |