| NPI | 1366896649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WV APRN75669-FNP-BC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV APRN75669) |
| 363LF0000X Nurse Practitioner Family (Licence: WV APRN75669-FNP-BC) | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2018-11-07 |