| NPI | 1679824197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A006199) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0099836) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OK R0099836) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2024-01-04 |