| NPI | 1720610587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 113970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0113970) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-04-16 |