| NPI | 1801743851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV 125981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 96551) |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-04-24 |