| NPI | 1801278809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7368) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 103947) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2021-04-21 |