| NPI | 1336548049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 206005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 106278) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK R0106278) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2021-12-09 |