| NPI | 1699803361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA RN049899 APO2313) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN049899 APO2313) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2022-02-07 |