| NPI | 1053661181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 72859) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 72859) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2022-07-21 |