| NPI | 1316578842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK R0114118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OK 0114118) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2025-01-06 |