| NPI | 1699492926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 114650) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV 114650) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |