NPI | 1790191286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN73111NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 73111) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2022-10-13 |