| NPI | 1215247325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017143024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 67006) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2016-07-14 |