| NPI | 1194214304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 109478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6241) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2022-05-10 |