| NPI | 1245632884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 105652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO CAPN0000251CNP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02481) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2021-04-23 |