| NPI | 1144279258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 101863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 525840) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-08-10 |