| NPI | 1255870465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 95796) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK 95796) |
| 207Q00000X Family Medicine (Licence: OK F09171417) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2021-12-15 |