| NPI | 1417182684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168312) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2012-07-27 |