| NPI | 1275084303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OK R0096491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OK 96491) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-05-06 |