| NPI | 1457719106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024173246) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: VA 0024173246) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2018-05-17 |