| NPI | 1093367807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 107052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 107052) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-08-05 |