| NPI | 1093398810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP.21381) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN139427) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-06-14 |