| NPI | 1922002294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001080840) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024080840) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2007-07-08 |