| NPI | 1831640556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021420) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN83339NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95011748) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2025-06-27 |