| NPI | 1235303371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167879) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001195528) |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2013-08-14 |