| NPI | 1346235488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 45906) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OK R0045906) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2011-06-16 |