| NPI | 1558620922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032164) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 76688) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2024-05-24 |