| NPI | 1871139857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 208440) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP143892) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 61167) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2022-08-04 |