| NPI | 1033627187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 121796) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CNM04688) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2021-08-26 |