| NPI | 1740759299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WV 68491) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WV 68491) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WV 68491) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2023-04-18 |