| NPI | 1609277052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN83314-NP-C) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024172882) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2025-11-18 |