| NPI | 1932170099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 68559) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OK R0068559) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-09-11 |