| NPI | 1972826659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 116005) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024168706) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2015-06-16 |