| NPI | 1932647815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 112042) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WV 55083) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2022-03-18 |