| NPI | 1447960729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 211725) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0127091) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-06-04 |