| NPI | 1871175166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 206107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0103974) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-12-06 |