| NPI | 1790341196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 118681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 118681) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0004222-) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2023-02-07 |