| NPI | 1235174285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS R566624) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN 028339 APO1951) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |