| NPI | 1285209965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 203760) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OK R0117232) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2022-06-23 |