| NPI | 1215225677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN117161-AP06522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN117161) |
| 363L00000X Nurse Practitioner (Licence: LA RN117161-AP06522) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2016-05-10 |