| NPI | 1720551674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK 117483) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 220103) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-09-03 |