| NPI | 1588653307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK n3097006) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0053173) |
| 363L00000X Nurse Practitioner (Licence: MO 2013042559) | |
| 363L00000X Nurse Practitioner (Licence: TX 536444) | |
| 363L00000X Nurse Practitioner (Licence: TX AP125297) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2016-05-25 |