| NPI | 1679372668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 125398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP033689) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2026-02-27 |