| NPI | 1588944383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN120812-AP06643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN120812) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2020-10-05 |