| NPI | 1104328756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 81201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 81201) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2022-02-18 |