| NPI | 1255165650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OK 201078) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 201078) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 201078) | |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-02-25 |