| NPI | 1588979314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WV 62736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024183957) |
| 363LF0000X Nurse Practitioner Family (Licence: WV APRN62736-NP-C) | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2024-02-20 |