| NPI | 1144004284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 119903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 101543) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-08-12 |