| NPI | 1073825311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA rn114154-ap06120) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 787122) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2016-05-13 |