| NPI | 1558730952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 82702) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK 82702) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2023-12-11 |