| NPI | 1427566389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 95427) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 95427) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 95427) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2023-08-21 |