| NPI | 1447758362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 106472) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OK 106472) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-03-17 |