| NPI | 1528953999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 106355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 106355) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-17 |