| NPI | 1063629533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024164544) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024164544) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |