| NPI | 1932297678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 57460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023921) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-05-25 |