| NPI | 1548375041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN49612NP) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-05-11 |