| NPI | 1083846984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000014278) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024170252) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2016-02-29 |