| 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 |