| NPI | 1396831608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 50871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-07422) |
| 363L00000X Nurse Practitioner (Licence: KY 3488P) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-06-03 |