| NPI | 1770835993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000668) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |