| NPI | 1386095586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN83391-FNP-BC) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV APRN83391) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WV APRN83391) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-01-31 |