| NPI | 1881682482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165343) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000186) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2009-04-11 |