| NPI | 1326575788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OK 95206) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: TX 708296) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-07-21 |