| NPI | 1871069724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0092903) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 92903) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-07-06 |