| NPI | 1124471354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-104704) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 122593) |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2023-07-20 |