| NPI | 1952031577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK R0130443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0130443) |
| 363L00000X Nurse Practitioner (Licence: OK 209195) | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-08-23 |