| NPI | 1396243077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 218981) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83498-071) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP136299) | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2024-11-12 |