| NPI | 1861885832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK F0715478) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK 62610) |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2015-10-13 |