| NPI | 1326161134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164084) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024164084) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2016-07-27 |