| NPI | 1932153723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 027133) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 055983-23-03) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-01-23 |