| NPI | 1083867444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 210675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 222251) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2024-05-17 |