| NPI | 1255668760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP06082) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA TAP002208) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2020-09-28 |