| NPI | 1326663857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 218944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 115529) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-03-06 |