| NPI | 1609496785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 99609) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 96609) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-07-08 |