| NPI | 1225618804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 204582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 113764) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-09-19 |