| NPI | 1144877341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 117508) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 117508) |
| 363LF0000X Nurse Practitioner Family (Licence: KS 53-79398-032) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-02-22 |