| NPI | 1801361399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176952) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN63275-NP-C) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2025-02-19 |