| NPI | 1538319561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 02009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 75026) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2024-06-20 |