| NPI | 1487884995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 106894) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 5374935091) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2014-05-06 |