| NPI | 1679986384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 86262) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 86262) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-04-08 |