| NPI | 1194119016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 74318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0074318) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 74318) | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2021-05-05 |