| NPI | 1356911069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 204826) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: OK 0110252) |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2021-08-04 |