| NPI | 1720232556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 110766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN199188) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2013-11-25 |