| NPI | 1205557303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 211628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0128161) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-01-31 |