| NPI | 1881095867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9375779) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WV APRN48645NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN48645NP) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2017-08-03 |