| NPI | 1124854237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 223502) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10031345) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2026-04-30 |