| NPI | 1689077927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-117717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 114792) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2023-11-06 |