| NPI | 1821674136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 222324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347544) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2025-04-30 |