| NPI | 1033674049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 205372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR F02190095) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A006110) | |
| 163W00000X Registered Nurse (Licence: AR R09975) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2019007054) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2024-07-09 |