| NPI | 1013268697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80778-081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 220626) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2025-03-04 |