| NPI | 1669398145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 237563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 230335) |
| Enumeration Date | 2026-06-29 |
| Last Update Date | 2026-07-15 |