| NPI | 1265187538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207250) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0122348) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-07-29 |