| NPI | 1336794650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 104922) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 104922) |
| 363L00000X Nurse Practitioner (Licence: OK R0104922) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK R0104922) | |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2023-02-07 |