| NPI | 1477902898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 214210) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 77163) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2025-08-06 |