| NPI | 1831254093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024073304) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0001073304) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-05-16 |