| NPI | 1467970657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK F08170044) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 103884) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2023-03-20 |