| NPI | 1225460959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 118066) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WV 76813) |
| 207R00000X Internal Medicine (Licence: WV 118066) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2025-03-17 |