| NPI | 1487231015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK R0100448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0100448) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-01-28 |