| NPI | 1538124714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168919) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: VA 0001176432) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-08-22 |