| NPI | 1447877279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 121482) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R204077) |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2025-04-22 |