| NPI | 1881897296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167502) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001199846) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-11-11 |