| NPI | 1821318825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP06145) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: LA RN0077394) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA RN077394-AP06145) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3399092) | |
| 363L00000X Nurse Practitioner (Licence: LA 6145) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2015-06-09 |