| NPI | 1174211841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 214941) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: OK R0089282) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-09-12 |