| NPI | 1811544968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 211541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR A005967) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-10-26 |