| NPI | 1588339022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 210810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95099506) |
| 163W00000X Registered Nurse (Licence: OK 210810) | |
| 363L00000X Nurse Practitioner (Licence: CA 95018138) | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-03-21 |