| NPI | 1205434768 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 213836)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 213836)  | 
| Enumeration Date | 2020-10-15 | 
| Last Update Date | 2022-02-28 |