| NPI | 1528575545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 98444) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 77484) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2018-08-15 |