| NPI | 1811186893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 30709) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA RN567961) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2021-07-06 |