| NPI | 1962094367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 106810) |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2025-03-10 |