| NPI | 1003804956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0093602) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OK R0093602) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2015-11-18 |