| NPI | 1922299072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 73174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2000172822) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A03020 ANP) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2013-07-17 |