| NPI | 1134713373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 200703) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 200703) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2025-03-11 |