| NPI | 1508268442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0087123) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 87123) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 87123) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2025-05-15 |