| NPI | 1295830131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA APN0024169684) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-11-05 |