| NPI | 1053126680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 222124) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OK R0133121) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-03-08 |