| NPI | 1437234770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024096552) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001096552) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-01-06 |