| NPI | 1659939387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN68963NP) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |