| NPI | 1548994882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 214502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0113246) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-10-03 |