| NPI | 1366962300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 72132) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: OK R0072132) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2018-08-27 |