| NPI | 1740797182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 106583) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OK L-133766) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2019-09-16 |