| NPI | 1114619772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 217648) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: OK R0131051) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2024-05-21 |