| NPI | 1255816286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 101250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 101250) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2022-10-26 |