| NPI | 1225460959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WV 76813) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 118066) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2023-12-12 |