| NPI | 1235605726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 78808) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1022179) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-02-23 |