| NPI | 1457769523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN66492-FNP-BC) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3008782) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2023-10-17 |