| NPI | 1275776841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A143612) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 95031) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2016-07-06 |