| NPI | 1912378209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9427767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 74920) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2023-09-20 |