| NPI | 1033775051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 23938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV APRN84899) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2021-02-02 |