| NPI | 1114331675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP03207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN065592-AP03207) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-03-04 |