| NPI | 1710145339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024173346) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001207430) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2016-12-28 |