| NPI | 1386843340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 100292) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165728) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-04-05 |