| NPI | 1932296209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA RN039317) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 0127981) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-03-17 |