| NPI | 1710486733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 133970) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21292) |
| 163WG0000X Registered Nurse, General Practice (Licence: TX 854265) | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2019-08-22 |