| NPI | 1093057358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013004941) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2015-09-25 |