| NPI | 1538806286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WV 111177) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 111177) |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2022-10-05 |