| NPI | 1801580063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 117099) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WV 68536) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-02-06 |