| NPI | 1124536388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0077656) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK 77656) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2021-11-01 |