| NPI | 1801889597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 214200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 44663) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2025-09-16 |