| NPI | 1497085674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 62857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010566) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2025-09-15 |