| NPI | 1548841430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 204003) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK R0114095) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-07-01 |