| NPI | 1619302676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN68736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 68736) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN68736-FNP-BC) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2023-08-09 |