| NPI | 1881372159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 214871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 214871) |
| 163W00000X Registered Nurse (Licence: OK R0088014) | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-12-04 |