| NPI | 1689695330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024069819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001069819) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-04-09 |