| NPI | 1902281777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 82129) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OK 82129) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2016-05-27 |