| NPI | 1770214553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV APRN-CNP113172) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: WV APRN-CNP113172) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-08-04 |