| NPI | 1609158047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA RN075287-AP06641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN075287) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2019-05-16 |