| NPI | 1053700377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9439494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0076751) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2021-09-13 |