| NPI | 1437551876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV APRN74834-NP-C) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180310) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2025-04-17 |