| NPI | 1386791457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 024167125) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: VA 0001071236) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-01-14 |