| NPI | 1245726926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV APRN85111-NP-C) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 85111) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2019-05-23 |