| NPI | 1457949398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 200745) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0123042) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2025-05-28 |