| NPI | 1346523156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024169640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001217185) |
| 364S00000X Clinical Nurse Specialist (Licence: VA 0015000926) | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2016-08-29 |