| NPI | 1295286854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 94694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK F0916595) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2021-04-28 |