| NPI | 1437209723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 100405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45974) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-05-25 |