| NPI | 1760915946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 105895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201601668RN) |
| 163W00000X Registered Nurse (Licence: OK R0105895) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2018-03-17 |