| NPI | 1518415959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP08977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 210372) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-000900) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2023-10-26 |