| NPI | 1649412263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0067070) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 67070) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2022-12-19 |