| NPI | 1871054858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 209161) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011247) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2024-12-10 |