| NPI | 1801371042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA rn238927) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 120867) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2025-07-14 |