| NPI | 1386338531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 118490) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 83499) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-02-21 |