| NPI | 1689012395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 48681) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: WV APRN48681) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2023-02-02 |