| NPI | 1508202599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R263310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 92511) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2024-10-02 |