| NPI | 1144570672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 75843) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 83490) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2017-10-04 |