| NPI | 1831542281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV WV81437) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN81437-NP-C) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-11-14 |