| NPI | 1497841852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV F0796189) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 257008-22) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-09 |