| NPI | 1689059610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R00469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 92469) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OK R00469) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-11-26 |