| NPI | 1518274760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006618) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: WV APRN73978) |
| 363L00000X Nurse Practitioner (Licence: WV 73978) | |
| 363L00000X Nurse Practitioner (Licence: KY 6618P) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WV APRN73978) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2021-12-29 |