| NPI | 1265130215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK 134321) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: OK 134321) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |