| NPI | 1679881320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK R48973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R48973) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2013-05-14 |