NPI | 1669887147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN48768) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN48768-FNP-BC) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2024-10-07 |