| NPI | 1427386788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN34480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV F1007142) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP016966) | |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2022-04-21 |