| NPI | 1972182830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN108878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 108878) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-09-01 |