| NPI | 1790145191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN-50349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010111) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2017-01-06 |