| NPI | 1891278743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN225316) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017020484) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 77980) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-01-11 |