| NPI | 1538698972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021133) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN98189) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-02-20 |