| NPI | 1497484760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 206397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 860317) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-03-06 |