| NPI | 1750977179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0101245) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1020140) |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2023-07-14 |