| NPI | 1558894352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025959) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN81646-NP-C) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-04-28 |