| NPI | 1710460753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN52482) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: WV 52482) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2024-11-07 |