| NPI | 1285355305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 114396) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 114396) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-11-03 |