| NPI | 1427140573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0048567) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 44872) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-05-30 |