| NPI | 1376088641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 104575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 104575) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2017-03-10 |