| NPI | 1164899845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP08326) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: LA AP08326) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2020-10-19 |