| NPI | 1568866416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 74928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0074928) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-10-21 |