| NPI | 1659532778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13461) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2017-01-26 |