| NPI | 1063923415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 135648) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 135648) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-09-28 |