| NPI | 1992012199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 107713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008204) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2012-11-20 |