| NPI | 1417208984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 24169121) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2013-02-12 |