| NPI | 1437436672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201509045NP-PP) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2016-10-11 |