| NPI | 1063904662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 200329) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK 102602) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2021-01-04 |