| NPI | 1467872283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 100685) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0100685) |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2014-07-02 |