| NPI | 1346947397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 117157) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: WV 102035) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-09-07 |