| NPI | 1609050285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001135090) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2018-07-13 |