| NPI | 1578841169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75450-012) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 109050) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2022-10-12 |