| NPI | 1184676009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 75406) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA F08051111) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-02-06 |