| NPI | 1013345305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0082734) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1007586) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2022-11-10 |