| NPI | 1821544222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN92706-FNP-BC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174036) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2022-09-10 |