| NPI | 1427038066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001-115910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024-165317) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-11-09 |