| NPI | 1366984734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN43198-NP-C) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2024-07-29 |