| NPI | 1659770915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 67681) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK R0067681) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2020-02-27 |