| NPI | 1215928700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0048985) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R48985) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-04-02 |