| NPI | 1477222347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 203873) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 203875) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2022-10-27 |