| NPI | 1518637602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 118843) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R218203) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-05-02 |