| NPI | 1750097622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 211619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0999125) |
| 163W00000X Registered Nurse (Licence: OK R0117104) | |
| 163W00000X Registered Nurse (Licence: CO 1692409) | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2024-09-17 |