NPI | 1780067611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN81216-FNP-BC) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 81216) |
Enumeration Date | 2015-07-09 |
Last Update Date | 2021-11-17 |