| NPI | 1033175013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024136390) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001136390) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-02-07 |