| NPI | 1467276022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 227938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61620334) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2026-05-27 |