| NPI | 1407106727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 85992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK F0812578) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2019-12-05 |