| NPI | 1295758456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169036) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1337792) |
| 364S00000X Clinical Nurse Specialist (Licence: FL ARNP 1337792) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-10-22 |