| NPI | 1811475288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN89186-FNP-BC) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-08-03 |