| NPI | 1356489272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP04559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN098282) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-09-11 |