| NPI | 1356037733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 106601) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 106601) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-09-16 |