| NPI | 1861660706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse School (Licence: WV 56058) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV APRN56058) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2024-01-05 |