| NPI | 1831871714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 214445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0123120) |
| 207Q00000X Family Medicine (Licence: OK 214445) | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-09-07 |