| NPI | 1952832438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK R0086682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 86682) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2023-07-19 |