| NPI | 1073246591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 209348) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OK R0120957) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-11-01 |