| NPI | 1891967832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024000025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5000968) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2014-08-27 |