| NPI | 1861844433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN85107-FNP-BC) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 85107) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-09-27 |