| NPI | 1194953448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R118578) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV APRN86992) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012028) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2019-08-26 |