| NPI | 1225070485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK R0066016) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK R0066016) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-08-14 |