| NPI | 1184213373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 200854) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0106835) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-02-22 |