| NPI | 1184425902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 122230) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 99198) |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-08-05 |