| NPI | 1275098873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 81210) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 112596) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2023-05-24 |