| NPI | 1144669805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0083597) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 83597) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2024-02-22 |