| NPI | 1245581479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A004718) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R69246) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2016-05-17 |