| NPI | 1679913115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP07330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN119235) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |