| NPI | 1932212164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024089713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001089713) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0017000926) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2024-07-23 |