| NPI | 1194905653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017138926) |
| 163WX0601X Registered Nurse, Otorhinolaryngology & Head-Neck (Licence: VA 0017138926) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2018-09-20 |