| NPI | 1225548647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 83113) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 83113) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2024-09-16 |