| NPI | 1396783908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 88750) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 88750) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 653337) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-01-17 |