| NPI | 1053623728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 202084) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 09209205) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2022-04-25 |