| NPI | 1801649470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 217565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0081433) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2026-01-14 |