| NPI | 1669039392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 214783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 925850) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1121633) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2024-01-17 |