| NPI | 1427464148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN70678) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 70678) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-04-14 |