| NPI | 1366515389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 45593) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 530454) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK rR0045593) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2023-07-07 |