| NPI | 1134351141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 66821) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03297) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2018-09-20 |