| NPI | 1881920155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VI 1783P) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: VI 1783p) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |