| NPI | 1376327601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 120066) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: WV 91677) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2024-07-15 |