| NPI | 1255038121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 10013975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1082842) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-06-10 |