| NPI | 1770712275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0092654) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A005266) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2023-01-26 |