| NPI | 1003883661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017138304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001156770) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2009-01-23 |