| NPI | 1194726976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 44556) |
| Additional Taxonomies | 176B00000X Midwife (Licence: WV 44556) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2016-05-23 |