| NPI | 1831531904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN77023) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 77023) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2023-10-12 |