| NPI | 1457630428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 65929) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APN001309) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2016-10-21 |