| NPI | 1033814785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 212142) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 212142) |
| 363L00000X Nurse Practitioner (Licence: OK R0113948) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2025-01-27 |