| NPI | 1518739432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 218944) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0136776) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2024-08-16 |