| NPI | 1356587786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 151536) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 46232) |
| 363LF0000X Nurse Practitioner Family (Licence: MO 151536) | |
| 363LF0000X Nurse Practitioner Family (Licence: AR A03180ANP) | |
| 363LF0000X Nurse Practitioner Family (Licence: OK R 91963) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2016-02-04 |