| NPI | 1184723074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 25623) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WV 25623) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-10-02 |