| NPI | 1265985717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0096735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 96735) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2021-09-15 |