| NPI | 1033849963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1072683) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |