| NPI | 1245222538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 49798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 44773) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2022-08-19 |