| NPI | 1003468745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R009034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APN.23047) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2021-06-04 |