| NPI | 1659960284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0124158) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2022-03-25 |