| NPI | 1427229400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 80096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK r0080096) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2019-07-25 |