| NPI | 1922460856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10666-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN 48489 FNP-BC) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 369874) | |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2022-02-22 |