| NPI | 1497315824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 202334) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60966571) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202008940NP-PP) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2021-12-19 |