| NPI | 1437464906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP06149) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN102443) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP06149) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2022-06-17 |