| NPI | 1487202826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: WV APRN51341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV APRN51341) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2021-12-13 |