| NPI | 1043459944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 107524) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK L0053329) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2019-02-06 |