| NPI | 1477828853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R102354) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03660) |
| Enumeration Date | 2012-03-18 |
| Last Update Date | 2016-02-01 |