| NPI | 1417788241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 2197444) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 219744) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2025-01-16 |