| NPI | 1093798167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 118969) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 255985) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-07-21 |