| NPI | 1689007643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN84842NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R207242) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2022-04-07 |