| NPI | 1427529130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3019049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN73590-FNP-BC) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2023-03-16 |