| NPI | 1386468569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 109317) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV 109317) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 109317) | |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |