| NPI | 1295974244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168212) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001187820) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2011-03-24 |