| NPI | 1457885543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 102802) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R0102802) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-01-10 |