| NPI | 1295394757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 109108) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: OK 109108) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-07-22 |