| NPI | 1417475997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK APRN11013245) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0104765) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2023-10-03 |