| NPI | 1336431550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001255433) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R145155) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2017-05-02 |