| NPI | 1043083900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 11770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188740) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2025-06-13 |