| NPI | 1235468679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 75770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 115354) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2018-07-27 |