| NPI | 1740792431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OK R0107030) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 107130) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2022-08-10 |