| NPI | 1316181019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP02177) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN032547) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2010-02-09 |