| NPI | 1528539541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 93962) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: OK 93962) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-02-24 |