| NPI | 1508395245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174900) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: VA 0001228137) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2018-08-23 |