| NPI | 1659938017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 222618) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0105914-C-NP) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2026-07-28 |