| NPI | 1699039883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0088067) |
| Additional Taxonomies | 101Y00000X Counselor |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 0088067) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-01-17 |