| NPI | 1417186313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001184641) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |