| NPI | 1336668383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 85427) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03365) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2023-03-31 |