| NPI | 1619346509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN49437-NP-C) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172683) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2022-04-08 |