| NPI | 1598213514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 109777) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 109777) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2024-04-02 |