| NPI | 1942024633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 221003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0125860) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-05-24 |