| NPI | 1487951471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP06447) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA TAP002518) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 727112) | |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2016-06-23 |