| NPI | 1518245646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 114642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75435) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2021-11-17 |