| NPI | 1396356143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0099284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 99284) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK F070201406) | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2022-08-24 |