| NPI | 1962747048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 105987) |
| Additional Taxonomies | 176B00000X Midwife |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC006009) | |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2023-12-05 |