| NPI | 1184200669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 201543) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: OK 201543) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-06-28 |