| NPI | 1285173963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: WV 81095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 106825) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2021-01-06 |