| NPI | 1376217257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 204854) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK R0122451) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |