| NPI | 1609264969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN52981NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD MC5162728) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD N97199) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV MC3485706) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV RXA2699) | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2024-06-13 |