| NPI | 1730642612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 210942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019009376) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-01-16 |