| NPI | 1326000605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024154072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 001154072) |
| 363L00000X Nurse Practitioner (Licence: VA 0017001387) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-12-27 |