| NPI | 1386102366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 93418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140462) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2022-07-11 |