| NPI | 1518030758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001119875) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: VA 0001119875) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024119875) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |