| NPI | 1013526227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 219508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8928) |
| 363L00000X Nurse Practitioner (Licence: CT 8928) | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2024-11-06 |