| NPI | 1437156551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN44204-FNP-BC) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 44204) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2022-01-11 |