| NPI | 1316304652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK F0116331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 98211) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201603482NP-PP) | |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2022-05-06 |