| NPI | 1427206267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VI 11173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167991) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2018-07-12 |