| NPI | 1922370899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 96349) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 23157) |
| 163W00000X Registered Nurse (Licence: OK 96349) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2023-02-15 |