| NPI | 1033132600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP01147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN028487) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-01-17 |