| NPI | 1881070811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001235039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172845) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-08-06 |