| NPI | 1346618618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20157) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK R0105340) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2016-10-17 |