| NPI | 1336370113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 72409) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 72409) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2015-08-26 |