| NPI | 1447137658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 204458) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 204458) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 204458) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: OK 204458) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 204458) | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |