| NPI | 1336425891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017140241) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2017-11-24 |