| NPI | 1013437227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 79398) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0103335CNP) |
| 207Q00000X Family Medicine (Licence: TX 1192009) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2025-10-11 |