| NPI | 1609551308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 121396) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WV 121396) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2025-11-11 |