| NPI | 1346316684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024096585) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0017000196) |
| 363L00000X Nurse Practitioner (Licence: VA 0001096585) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |