| NPI | 1285973388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0096655) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 96655) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2025-09-24 |