| NPI | 1508405028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1014028) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OK 95760) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK F05200738) | |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2020-10-20 |