| NPI | 1003317991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 87916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137668) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OK M0087916) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2024-02-22 |