| NPI | 1689072605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN77359NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN77359NP) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2025-09-17 |