| NPI | 1972754208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APRN04780) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: LA APRN04780) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2018-11-01 |