| NPI | 1992997456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168904) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KS 46049) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2011-05-13 |