| NPI | 1992167282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 95024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN583509) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-10-07 |