| NPI | 1326004011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 68309) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 44855) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2011-11-04 |