| NPI | 1447253794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 03144) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 03144) |
| 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: LA 03144) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-08 |