| NPI | 1578880647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168776) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0001138223) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: VA 0024168776) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2020-01-22 |