| NPI | 1548618572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 219885) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OK 100136) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2024-12-23 |