| NPI | 1225155567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APRN 05099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN 116911) |
| 163W00000X Registered Nurse (Licence: TN RN 152036) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2012-11-29 |