| NPI | 1336569037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 204703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 193466) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 11048-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 217007) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2026-01-23 |