| NPI | 1427377423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV APRN38760) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 6496P) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 2009011388) | |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2023-08-15 |