| NPI | 1760076731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 204091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0086955) |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2024-06-19 |