| NPI | 1972045326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN92979-FNP-BC) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.404174) |
| 163W00000X Registered Nurse (Licence: WV 92979) | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |