| NPI | 1124186036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024140024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001140024) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-11-17 |