| NPI | 1134261837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA APO3981) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-12-10 |