| NPI | 1588823074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 0094079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13409) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2013-08-30 |