| NPI | 1275787012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001131979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175839) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2018-10-09 |