| NPI | 1902373681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OK R0073442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OK F09181310) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2023-05-08 |