| NPI | 1235728163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 200910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0107138) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-04-12 |