| NPI | 1336170927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP03225) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN46372) |
| 363A00000X Physician Assistant (Licence: LA AP03225) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-04-07 |