| NPI | 1700275260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN86632-FNP-BC) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2025-12-12 |