| NPI | 1932215449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN056494-AP03862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN056494-SP03862) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-12-06 |