| NPI | 1265100978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 205279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0106628) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-10-27 |