| NPI | 1669984126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 107700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 107700) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 78069) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2023-08-15 |