| NPI | 1871245852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 212914) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK R0133483) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: OK R0133483) | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2024-02-09 |