| NPI | 1215529078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 220733) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1029225) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2025-01-22 |