| NPI | 1457552424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP05167) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN095442) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-05-22 |