| NPI | 1538460845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP06278) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN116064) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2016-11-01 |