| NPI | 1912130683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN085735-AP0589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN085735-AP05893) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2013-04-01 |