| NPI | 1477171445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A160020) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 116159) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2021-12-01 |