| NPI | 1093486342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 205970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0081017) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2022-04-06 |