| NPI | 1396977617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA RN 101777) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP05735) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2014-03-14 |