| NPI | 1720614704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0106246) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OK 106246) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2022-09-09 |