| NPI | 1306861778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 8397) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-02-15 |