| NPI | 1790023778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0092329) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 92329) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2023-02-28 |