| NPI | 1811205925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 78855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK F0910335) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2024-05-14 |