| NPI | 1285006304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20949) |
| 163W00000X Registered Nurse (Licence: VA 0001238139) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-03-28 |