| NPI | 1437454451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 89544) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010033155) |
| Enumeration Date | 2011-01-22 |
| Last Update Date | 2017-04-05 |