| NPI | 1366001315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 108196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 108197) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2021-11-17 |