| NPI | 1609060524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 22723.934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 109533) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2016-10-03 |