| NPI | 1508199274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 73556) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OK 73556) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2025-11-17 |