| NPI | 1346811635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 110238) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV pending) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2025-02-11 |