| NPI | 1114072469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 33518) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 33518) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-02-06 |