| NPI | 1396733580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3187042) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2019-02-05 |