| NPI | 1275019598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0082221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 82221) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-06-21 |