| NPI | 1801421466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI apron-4085-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 108294) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK R0108294) | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2024-02-23 |