| NPI | 1407805245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 95370) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR A01060) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-08-05 |