| NPI | 1437781283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 212930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013819) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-10-10 |