| NPI | 1386112688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4011663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN61779NP) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2024-02-07 |