| NPI | 1477098754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 208100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016042121) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2022-08-02 |