| NPI | 1427464148 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 70678) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 26858) | 
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN70678) | |
| Enumeration Date | 2014-07-02 | 
| Last Update Date | 2025-07-11 |