| NPI | 1669453734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024090521) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001090521) |
| 247100000X Radiologic Technologist (Licence: VA 0122000219) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2022-08-12 |