| NPI | 1578796025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA RN080745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP05931) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2022-03-03 |