| NPI | 1295050953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP06073) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN 104691) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-07-12 |