| NPI | 1427010313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1752522) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-01-22 |