| NPI | 1841679388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 218196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128187) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2019015269) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2024-08-21 |