| NPI | 1023742632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 209447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK F07220309) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-08-20 |