| NPI | 1356722169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 71192) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 71192) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-04-07 |