| NPI | 1922145614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN54832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013917) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-05-26 |