| NPI | 1598075194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R092480) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2012-06-22 |