| NPI | 1225537277 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 79027) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 79027) | 
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83658-092) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15197300) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 71309) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1110231) | |
| Enumeration Date | 2018-02-06 | 
| Last Update Date | 2025-08-21 |