| NPI | 1932824455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 209799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0128283) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2025-08-21 |