| NPI | 1922061084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0061767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45103) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2010-08-10 |