| NPI | 1548647787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20087) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-07-28 |