| NPI | 1588108187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 210367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77499-052) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2023-05-30 |