| NPI | 1881705713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 134872) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-06-05 |