| NPI | 1194227744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK F06180461) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 80320) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2022-10-12 |