| NPI | 1487033007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 64723) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WV APRN64723) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2025-02-26 |