| NPI | 1396786034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV APRN99622) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024174910) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP 01828) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-03-07 |