| NPI | 1881025849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP07317) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 7929824) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 140577-7317) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2024-07-23 |