| NPI | 1093165227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 104671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 104671) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2024-02-21 |