| NPI | 1548267701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024057129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001057129) |
| 163W00000X Registered Nurse (Licence: WI 140826030) | |
| Enumeration Date | 2005-07-02 |
| Last Update Date | 2016-01-06 |