| NPI | 1003460452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 208823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 116331) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-08-14 |