| NPI | 1013132299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 75794) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2002002274) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2022-07-21 |