| NPI | 1356843007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK F06182708) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK 109555) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-06-29 |