| NPI | 1346861937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 106022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 96991) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-01-29 |