| NPI | 1790765733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0077178) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OK R0077178) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 0077178) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2015-07-18 |