| NPI | 1215167333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5001114) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-01114) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2018-03-17 |