| NPI | 1073258513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 204746) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 204746) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2024-07-09 |