| NPI | 1033645007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 94697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 94697) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 94697) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-02-17 |