| NPI | 1477082535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV APRN83449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011102) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-02-09 |