| NPI | 1942571971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R 108652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 240707) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2013-09-07 |