| NPI | 1700302304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 217779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78421) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2025-03-25 |