| NPI | 1730359753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R63991) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03358 ANP) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2016-10-03 |