| NPI | 1033733225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 89898) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OK 89898) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-07-16 |