| 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 | 2025-02-11 |