| NPI | 1518938703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP03503) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0084201) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2012-11-13 |