| NPI | 1720745185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 110253) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WV F06210993) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-01-31 |