| NPI | 1285730127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP04905) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN041401) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-04-27 |