| NPI | 1023657434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0109496) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK 109496) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK F01200268) | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2021-06-11 |