| NPI | 1912333196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 0059052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0059052) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2019-01-22 |