| NPI | 1851064711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 220428) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OK L-304019) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-10-10 |