| NPI | 1487491551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 120333) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 120333) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-08-29 |