| NPI | 1477002327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 105865) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: WV 85607) |
| 363L00000X Nurse Practitioner (Licence: OH 026410) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2023-02-06 |