| NPI | 1679570550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024000065) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001095096) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2009-03-23 |