| NPI | 1932176922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024079916) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001079916) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-06-08 |