| NPI | 1396932521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177452) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 160254) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2023-03-15 |