| NPI | 1760936033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 99437) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 905334) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-04-23 |