| NPI | 1538529417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 61690) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: WV APRN61690-FNP-BC) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2024-04-26 |